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Tennessee rates for HCPCS 86258

Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $30.13 / $142.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $19.80 / $29.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $6.03 / $19.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $11.53 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $23.99 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.46 / $17.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $60.00 / $60.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.60